Search results
Neonatal jaundice. Treatment threshold graphs. NICE clinical guideline 98. Developed by the National Collaborating Centre for Women’s and Children’s Health. These treatment threshold graphs accompany the clinical guideline: ‘Neonatal jaundice’. They are also available as an implementation tool.
1 cze 2007 · To predict the occurrence of severe hyperbilirubinemia, it is therefore recommended that either TSB or TcB concentration be measured in all infants between 24 h and 72 h of life; if the infant does not require immediate treatment, the results should be plotted on the predictive nomogram to determine the risk of progression to severe ...
Bases follow-up testing on the difference between bilirubin level and the phototherapy threshold. No more risk zones! Raises thresholds for phototherapy and exchange transfusion. Includes gestational age and risk factors for neurotoxicity in the thresholds.
Bhutani Nomogram When using this nomogram, remember that "risk" refers to the risk of a subsequent bilirubin level in that infant >95th percentile for age. AAP 7-04
Bhutani curve (below) is the accepted nomogram for assessing hyperbilirubinemia risk for infants ≥ 35 weeks gestation, based on bilirubin level and postnatal age © Department of Pediatric Newborn Medicine, Brigham and Women’s Hospital
neonate is at risk of bilirubin encephalopathy at a lower level of serum bilirubin and should be started on phototherapy at the lower line (Phototherapy with Risk Factors) on the treatment graphs. Examination findings of bruising, pallor and/or plethora may offer clues to causation.
hyperbilirubinemia • All newborns should be assessed for hyperbilirubinemia prior to discharge by: 1. Total Serum Bilirubin or Transcutaneous Bilirubin Level 2. Assessment of clinical risk factors • Results should be plotted on a normogram • Can obtain at time of newborn screen to minimize excess blood draws
